Marathon Area Volunteer Ambulance Corps Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MARATHON AREA VOLUNTEER AMBULANCE CORPS INC

Practice address

2 Peck St
Marathon, NY 13803

Phone

(607) 849-6337

Fax

(607) 849-3263

NPI assigned

Sep 13, 2005

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Bliss

Title

President

Phone

(607) 423-4777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1063407419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PECK ST",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "13803",
            "telephone_number": "607-849-6337",
            "fax_number": "607-849-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON AREA VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-423-4777"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Health Network of Central New York, Inc (SBHC- Marathon Jr/Sr High School)
• Family Health Network of Central New York, Inc (SBHC-Marathon Elementary School)
• Nicole Marie Gilbert, FNP
• Kinney Drugs, Inc. #88
• Carly Alexandra Latta, FNP
• Marathon Central School District
• Terrissa Coretta Martin, M.D.
• Melissa S Maxson-Mattern, RN
• Natalia Lynne McCormick, NP
• Kathleen Ann Meadows, L.P.N.

• Land Ambulance in Marathon, NY
• Providers in Marathon, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.